Provision of a Mobile Geriatric Team Extra-Community Hospital in Assessing and Regulating the Hospitalization of Frail Elderly Patients With Complex Medical and Social Situation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 334
- 试验地点
- 3
- 主要终点
- effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month
研究概览
简要总结
The purpose of this study is to demonstrate the effectiveness of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month.
The primary endpoint: survival without hospitalization through the emergency inappropriate to 1 month.
详细描述
The purpose of this study is to assess the effectiveness of the Mobile Geriatrics on the management of complex situations in retirement homes and in ambulatory care of frail elderly patients, reported by the generalist doctor, in terms of improving the conditions of use technical support hospital follow-up recommendations given by the mobile team and their impact on outcomes of care.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient aged 75 and over living in complex medical or psycho-social complex or at risk of hospitalization
- •Patient affiliated to social security or beneficiary of such a regime
- •Patient available for follow-up to 6 months with a caregiver or accompanying social duly appointed.
排除标准
- •Patient residing outside intervention sector
- •Life-threatening emergency (ambulance)
- •Lack of complexity of the situation, supported by routine care
结局指标
主要结局
effectiveness of the visit of the mobile unit to reduce the geriatric hospital inappropriate (especially for emergencies) to 1 month
时间窗: 1 month
inappropriate survival without hospitalization through the emergency room at 1 month
次要结局
- needs and difficulties of attending physicians in the care of frail elderly patients with complex medical and social situation before and after the establishment of mobile units for geriatrics.(1 year)
- cost effectiveness of two types of visit of the mobile unit of Geriatrics (telephone regulation and control over travel home phone)(6 months)
- follow-up rate of the proposals of UMG ext (adherence to recommendations and feasibility) and analyze the reasons for not monitoring these proposals one month(1 month)
- survival without hospitalization inappropriate, mortality, changes in functional status and cognitive health care consumption up to 6 months of surgery(6 months)
- effectiveness of the visit of the mobile geriatric home versus telephone follow-up of mobile geriatric unit(6 months)
研究者
AdministrateurCIC
Pr Pascal COUTURIER, University Hospital, Grenoble
University Hospital, Grenoble